16-100182 Electrical
City Federal Way Permit #: 16-100182-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 - Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: ANYTIME FITNESS
Project Address: 1614 SW DASH POINT RD` Parcel Number: 189880 0010
Project Description: Installing a new low voltage security systems and CCTV
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Owner Applicant Contractor
DASH POINT VILLAGE LLC' KENNETH L MOORE MAKEAD POWER&CONTROLS
1201 PACIFIC AVE SUITE 1400 MAKEAD POWER&CONTROLS MAKEAPC855QR(11/19/17)
TACOMA WA 98402 4570 AVERY LN SE SUITE C220 -- 4570 AVERY LN SE SUITE C220
LACEY WA 98503 LACEY WA 98503
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Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial. 7 Low Voltage Other(Commercial: 2
PERMIT EXPIRES Monday, July 11, 2016
Permit Issued on Wednesday, January 13, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the s- will be in accordan with the laws, rules and regulations of the State of Washington
�- • re City of Federal Way.
Owner or agent. , / Date:
j..\/\„4:so
F
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THIS CARD IS TO RE ON-SITE
CITY OF Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-100182-00-EL Address: 1614 SW DASH POINT RD
Project: DASH POINT VILLAGE LLC FEDERAL WAY, WA 98023
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El UFER Ground(4295) - -❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020).
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By (+,t6. , Date v_ at ,,) L
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date i By Date By Date
RECEIVED
it ECTRICAL
. CITY OF Federal Way JAN 13 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
PERMIT NUMBER 1 So ) 0 0 1 6 - - &^
SUITE/UNIT/SPACE#
SITE ADDRESS: 5 4 J/ 1
j �J t 04- as e POCNr. , r-ed 0Uy
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
6 kK__ i Z3 devices
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMF a PRIMARY PHONE
PROPERTY OWNER D Poodi _ vi`�F*, ( ) -
MAILING ADDRESS E-MAIL
' /LC/ /74CiA/C /41 -e:;16.
CITY STATE ZIP FAX
r" _ a_ W0' ge, ( ) -
NAME PRIMARY PHONE
1i'- D PO well a C°0/9 a/5 (42,5121Z. -557/
MAILING ADDRESS , E-MAIL
ELECTRICAL 7 5 7 A-e�y �4 ��e-`' C 22-o
CONTRACTOR CITY G Y STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# ��DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY 64-/3 %�alr,�Z �hois (4Zsf 2Z-PHONE 37/
APPLICANT MAILING ADDRESS
4f10 4ve4y d Z20
CITY STATE ZIP FAX
Lace j� a- 905'03 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim • 'ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the c' as a •• of th . ••placation. •
SIGNATU' ' � ,/77,71..._
DATE !/` 3/2'
L '' G/b •
PRINT NAM':
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application